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How to Help Someone with Alcohol Addiction: 5 Steps That Actually Works

Expert-Backed Strategies That Work When Everything Else Has Failed

By Andrew D. HubermanPublished 8 months ago 4 min read

Watching someone you love struggle with alcohol addiction is heartbreaking. You want to help but don't know how - and everything you've tried seems to make things worse. Here's the truth: you can't force someone to get sober, but you can create conditions that encourage recovery while protecting yourself.

The key is supporting the person, not the addiction. This means setting boundaries, learning effective communication, and knowing when to step back.

5 Warning Signs of Alcohol Addiction

Recognize these red flags before the situation gets worse:

  • Loss of control - Can't stop after one or two drinks
  • Neglecting responsibilities - Missing work, ignoring family
  • Drinking to cope - Using alcohol to handle stress or emotions
  • Physical changes - Bloodshot eyes, weight changes, poor hygiene
  • Lying about drinking - Hiding bottles, being defensive when questioned

If you see 3+ signs, it's time to take action.

Ready to help your loved one start recovery? Get proven strategies here →

Step 1: Learn the Right Way to Talk About It

How you approach this conversation can make or break their willingness to get help.

DO This:

  • Choose the right time - When they're sober and calm
  • Use "I" statements - "I'm worried about your health"
  • Focus on specific behaviors - "When you missed dinner last night..."
  • Express love and concern - Make it clear you care
  • Listen without judgment - Let them share their side

DON'T Do This:

  • Don't call them an "alcoholic" or "addict"
  • Don't lecture when they're drunk
  • Don't make threats you won't follow through on
  • Don't enable by making excuses for them

Example: Instead of "You're ruining your life!" try "I love you and I'm concerned about how much you're drinking. Can we talk about getting some help?"

Step 2: Set Healthy Boundaries

Boundaries protect both of you from the destructive cycle of addiction.

Essential Boundaries:

  • No money when they've been drinking
  • No rides if they're intoxicated
  • No covering for their mistakes at work or home
  • No accepting verbal abuse or manipulation
  • No enabling their drinking in any way

Remember: Boundaries aren't punishment - they're protection. Be clear about consequences and follow through consistently.

Step 3: Know Your Treatment Options

Recovery isn't one-size-fits-all. Understanding options helps you guide them to the right help:

Professional Treatment:

  • Outpatient therapy - 1-2 sessions per week, maintains normal life
  • Intensive outpatient - 3-4 days per week, more structured
  • Inpatient rehab - 30-90 days, 24/7 medical supervision
  • Medication - Reduces cravings and withdrawal symptoms

Support Groups:

  • For them: AA, SMART Recovery, LifeRing
  • For you: Al-Anon, family support groups

Key Resources:

  • SAMHSA National Helpline: 1-800-662-4357
  • NIAAA Treatment Locator

Need help finding the right treatment? Get guidance now →

Step 4: Support Their Recovery Journey

Getting them into treatment is just the beginning.

How to Be Supportive:

  • Remove alcohol from your home
  • Attend family therapy when invited
  • Celebrate small wins - acknowledge progress
  • Be patient with setbacks - recovery isn't linear
  • Learn about addiction - understanding helps you help better

Warning Signs of Relapse:

  • Increased stress or mood changes
  • Isolating from support groups
  • Hanging around old drinking friends
  • Making excuses or becoming defensive

If you see these signs, express concern calmly and encourage them to reach out to their support system.

Step 5: Take Care of Yourself First

You can't help effectively if you're not well yourself.

Self-Care Essentials:

  • Join Al-Anon or family support groups
  • Consider therapy for yourself
  • Maintain your friendships and hobbies
  • Set realistic expectations - you can't control their choices
  • Don't take responsibility for their drinking

Signs you need more support: Depression, anxiety, neglecting your health, isolating from others, or using substances to cope.

When They Refuse Help

This is the hardest situation. Here's what to do:

  • Don't give up, but don't push constantly
  • Let natural consequences happen - don't rescue them
  • Stay connected but detached - love them without enabling
  • Keep resources ready for when they're ready
  • Consider professional help for guidance on next steps

Remember: You can't control their choices, only your responses.

Quick FAQ

Q: How do I know if it's really addiction?

A: If drinking is causing problems in multiple life areas (work, relationships, health, finances) and they can't control it, it's likely addiction.

Q: Should I do an intervention?

A: Only with professional guidance. Interventions work best when properly planned with a trained interventionist.

Q: What if they relapse?

A: Relapse is often part of recovery. Don't take it personally. Encourage them to get back into treatment and continue your own support.

Q: How long does recovery take?

A: Recovery is lifelong, but initial treatment typically lasts 30-90 days. Long-term sobriety requires ongoing support and lifestyle changes.

The Bottom Line

Helping someone with alcohol addiction requires a balance of love and boundaries. You can't force them to get sober, but you can:

  • Communicate with love and concern
  • Set healthy boundaries
  • Learn about treatment options
  • Support their recovery journey
  • Take care of your own well-being

Most importantly: Don't do this alone. Professional help is available for both of you.

Recovery is possible. With the right approach, support, and treatment, your loved one can overcome addiction and rebuild their life.

Don't wait for things to get worse. Addiction is progressive - it doesn't get better on its own. Get the help and resources you need to start the recovery journey today.

healthself carehow to

About the Creator

Andrew D. Huberman

Stanford neurobiology professor sharing science-backed insights on brain health, performance, sleep & vision via the Huberman Lab Podcast.

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